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At least 19 recordsLinked to original sources
PubMed1978

Severity, satisfaction and symptom resolution in patients of emergency medicine residents.

Emergency department patients treated by first and second year emergency medicine residents were compared with those treated by surgical interns and residents and medical interns and residents to see if emergency medicine residents are exposed to patients with problems that aid in teaching and whether there is a suitable correspondence between patient severity and clinical training level. The Emergency Department Surveillance System at The Johns Hopkins Health Services Research and Development Center was used to gather data. Results indicated emergency medicine residents were exposed to fewer severe medical causes than medical housestaff but saw a significantly greater number of severe surgical cases than surgical interns and residents. Patients reported greater satisfaction with nonemergency medicine residents. Regarding outcome, there was no significant difference among the clinician groups. For all the patients, pain and anxiety levels improved significantly. Although the findings may be specific to The Johns Hopkins Adult Emergency Department, they demonstrate the methods and motivation for examining the training experience offered emergency medicine residents.

Consumer Behavior↗
PubMed1979

Emergency medicine core content.

The Emergency Medicine Core Content represents the central body of knowledge of emergency medicine and is presented as an itemized list of clinical diseases, major clinical symptoms, administrative entities, and physician skills. It comprises the nucleus of the actual practice of clinical emergency medicine. Finally, it describes the educational scope of postgraduate training and continuing medical education in emergency medicine. The Core Content should be differentiated from a training curriculum. A training curriculum defines the experiential and educational means to attain this core body of knowledge. The Emergency Medicine Core Content was derived in part from the Committee on Board Establishment (COBE) conditions and skills list. Its present form represents a total reorganization of the COBE list with appropriate additions and deletions. All diseases and symptoms were included on the basis of four criteria: conditions which pose immediate life or limb threat; conditions which potentially require inhospital treatment; conditions which give rise to significant discomfort to the patient and conditions with medicolegal implications. The Emergency Medicine Core Content has been widely circulated and has input from numerous individuals and committees. All critiques were closely reviewed and employed to derive the final document as it now exists.

Clinical Competence↗
PubMed1979

A characterization of emergency medicine.

A Medical Specialty Preference Inventory (MSPI) containing 199 items relating to the practice of medicine was developed through ratings by a national sample of over 1,000 board certified physicians in internal medicine, obstetrics-gynecology, pediatrics, psychiatry, surgery, and family practice. Sixty-one emergency physicians completed the MSPI for emergency medicine. Scores on the emergency medicine characterization were compared with those of the six specialties. Results showed emergency medicine most similar to surgery and least similar to psychiatry, although the similarity to surgery was two standard deviations below the mean overall surgery score. A more extensive and systematic effort to characterize emergency medicine using the MSPI rating system could create a national representative factorial characterization of emergency medicine to be used by medical students and physicians when choosing a specialty.

Career Choice↗
PubMed1979

Orientation program for emergency medicine residents.

An orientation curriculum was developed for incoming residents in emergency medicine at the University of Cincinnati (UC) in July, 1976. The major objectives of the orientation were 1) to identify and delineate the subject matter of emergency medicine, and 2) to review the basic elements of emergency medicine. Results of a pre- and posttest using the residency program at the Medical College of Pennsylvania (MCP) as a control group are presented. The pretest scores of the study groups showed no significant difference at a .05 level. The posttest, however, resulted in a significant improvement of the UC scores (p less than 0.05), while little change occurred in the MCP scores. An inter-group evaluation shows the UC group to have out-performed the MCP group significantly (p less than 0.05). Results of a one-year posttest showed the UC residents scoring an overall average of six points higher on the test. However, the general difference between the two groups of residents was not significant at the 0.05 level.

Curriculum↗
PubMed1977

Emergency medicine as an academic discipline.

Because of an explosive increase in the use of emergency rooms in hospitals across the country, many hospitals have found it expedient to employ full-time emergency physicians. The demand for emergency physicians has prompted the development of training programs in emergency medicine in academic medical centers. The first such training program was instituted at The Medical College of Pennsylvania in 1970. The 32 current programs in the nation are filling a real need in providing manpower for hospital emergency rooms. With the increasing identification and distribution of emergency physicians, there has been an attempt to develop emergency medicine as a distinct discipline and to establish its legitimacy in the structure of academic medical centers. A variety of problems must be addressed to clarify the role of emergency medicine in the academic setting.

Curriculum↗
PubMed1978

Survey of continuing education needs for nonemergency physicians in emergency medicine.

A questionnaire was mailed to every physician in Iowa (2,551) to determine their need for continued education in emergency medicine. There 884 usable responses (34.7%). Results revealed a low incidence of formal education in emergency medicine, particularly at the undergraduate and graduate levels, with a great incidence of continued education in the field. Approximately half of the responding physicians felt they treat an emergency patient at least once a week. The primary conclusion of the study is that continued education in basic emergency medical care is perceived as being necessary by physicians who are not specialists in emergency medicine, but, nevertheless, treat patients with medical emergencies. Physicians were most interested in education in basic life saving procedures, such as airway maintenance and cardiopulmonary resuscitation.

Attitude of Health Personnel↗
PubMed1978

Skills and procedures in emergency medicine: room for controversy.

To examine patterns of consensus and divergence of opinion about whether, and under what conditions, residency-trained emergency physicians use certain skills and perform procedures, directors of 35 emergency medicine, 28 surgery and 30 internal medicine residency programs were surveyed. The directors reacted to a list of 30 skills modified from the condition/skills list compiled by the Certification Task Force of the American College of Emergency Physicians representing a consensus on the core-knowledge for emergency medicine, as determined by both practicing and university-based emergency physicians. The responses indicate a wide variation of opinion about which skills are within the realm of residency-trained emergency physicians, and under what circumstances a procedure should be performed. The skills of greatest concern among emergency medicine directors include axillary and intravenous lidocaine blocks, bronchoscopy, burr holes, closed reduction of dislocated hips, Swan-Ganz catheterization, and cardiopulmonary by-pass. In contrast, slightly more than one third of the procedures on the modified list were clearly agreed upon by over 80% of the directors as procedures performed by trained emergency physicians.

Attitude of Health Personnel↗
PubMed1979

A multidisciplinary clerkship in emergency medicine.

An obligatory, multidisciplinary, fourth-year emergency medicine clerkship is described and the particular problems of multidisciplinary courses discussed. The course is designed to produce medical students who adequately demonstrate: knowledge of emergency care and facility in specified skills, familiarity with the appropriate use of an emergency room, and conversance with treatment of nonemergency cases. Students are required to complete successfully an advanced cardiac life support providers course, serve on ambulance duty, rotate through a community hospital emergency room, and participate in the more traditional clinical experiences. The course offers the fourth-year student an opportunity to synthesize prior knowledge within the context of a multidisciplinary patient care experience.

Clinical Competence↗
PubMed1979

[A new suction pump to be used in the field of emergency medicine (author's transl)].

In the field of emergency medicine there has been a need for an efficient suction pump that can be used under all types of conditions and included both in doctors' emergency kits as well as in the standard equipment of mobile units such as ambulance cars, helicopters etc. The devices available in the past had decided disadvantages in their construction and performance. A newly designed suction pump -- the AMBU Uni-Suction -- has been subjected to laboratory and practical tests concerning function, material and practical use, based on a specification of requirements for such a device. The results show that this universally applicable suction pump meets every requirement under the different test conditions. The effectiveness is good, irrespective of the mode of operation applied, i.e. by hand, by foot or by compressed gases. Maintenance and service are negligible and no susceptibility to malfunction was observed. In addition, the design, function and performance of an accessory unit, the Suction Booster, are presented. This device can be used effectively in combination with the new suction pump, or with any other type of suction unit to prevent dangerous aspiration in emergencies.

Clinical Trials as Topic↗
PubMed1977

Self-instructional emergency medicine program for medical students.

A self-instructional program in emergency medicine has been developed for freshmen medical students at the University of Virginia School of Medicine. The cognitive objective of the course is to give the student the minimum level of knowledge to diagnose emergency medical conditions. Performance of the appropriate practical treatment is the course's psychomotor objective. Evaluation of the student's grasp of the program's cognitive and psychomotor objectives is accomplished by the written and practical examination for certification of emergency medical technicians and practical tests in basic life-support. Self-instructional guides, algorithms, videotapes and reading materials are the educational resources for the course. As a result of successful completion of the training program, the student is certified as an emergency medical technician in the Commonwealth of Virginia.

Audiovisual Aids↗